REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC. (NPI# 1669693636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669693636 |
| Entity Type | Organization |
| Organization Name | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC. |
| Other Organization Name | RMCHCS - BEHAVIORAL HEALTH SERVICES |
| Practice Address |
650 Vanden Bosch Pkwy Bhs Gallup NM 87301-5508 |
| Mailing Address |
1901 Redrock Dr Gallup NM 87301-5683 |
| Practice Telephone | 5057266900 |
| Practice Fax Number | 5057226192 |
| Mailing Telephone | 5058637000 |
| Mailing Fax Number | 5058637210 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-09-15 |
| NPI Deactivation Date | 09/09/2014 |
| NPI Reactivation Date | 2015-08-05 |
| Authorized Official Name | DONALD SMITHBURG (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5058637000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
2079 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | CHAMPUS MENTAL HEALTH | X002467 | 01 |
| AZ | 827206 | 05 | |
| NM | 000604 | 05 | |
| NM | BCBS MENTAL HEALTH | NM000018 | 01 |
| Other Name | Type Code |
|---|---|
| RMCHCS - Behavioral Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942234406 | Rehoboth Mckinley Christian Health Care Services, Inc. | Hospice Care, Community Based | 1910 Red Rock Dr, Gallup, NM 87301-5682 | 2006-07-10 |
| 1720084999 | Rehoboth Mckinley Christian Health Care Services, Inc. | General Acute Care Hospital | 1901 Redrock Drive, Gallup, NM 87301-5683 | 2005-06-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC. | 1901 Red Rock Dr, Gallup, NM 87301-5683 |
| Street Address |
650 VANDEN BOSCH PKWY BHS |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972574416 | Jill June Blacharsh | Psychiatry & Neurology | 650 Vanden Bosch Pkwy, B, Gallup, NM 87301 | 2006-02-01 |
| 1518128206 | Jeremy Taylor Lindsey | Marriage & Family Therapist | 650 Vanden Bosch Pkwy, Gallup, NM 87301-5508 | 2008-06-24 |
| 1255598108 | Kenny D Sanchez | Counselor | 650 Vanden Bosch Pkwy, Gallup, NM 87301-5508 | 2008-05-19 |
| 1851588230 | Mark Geraghty | Counselor | 650 Vanden Bosch Pkwy, Gallup, NM 87301-5508 | 2007-09-28 |
| 1437280419 | Ricardo P Spencer | Counselor | 650 Vanden Bosch Pkwy, #b, Gallup, NM 87301-5508 | 2007-03-08 |
| 1750412730 | Donna F Lupee | Counselor | 650 Vanden Bosch Pkwy, # B, Gallup, NM 87301-5508 | 2007-03-08 |
| 1972634962 | Alvera R Upshaw | Counselor | 650 Vanden Bosch Pkwy, # B, Gallup, NM 87301-5508 | 2007-03-08 |
| 1215068200 | Gerald L Watchman | Counselor | 650 Vanden Bosch Pkwy, B, Gallup, NM 87301-5508 | 2007-03-08 |
| 1629040407 | Bruce D. Tempest | Family Medicine | 650 Vanden Bosch Pkwy, #a, Gallup, NM 87301-5508 | 2006-02-06 |
| 1962474833 | Paula Stifler | Social Worker | 650 Vanden Bosch Pkwy, B, Gallup, NM 87301-5508 | 2006-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1144386830 | Western Clinical Health Services | Clinic/Center | 209 San Mateo Blvd Ne, Albuquerque, NM 87108-1508 | 2006-12-28 |
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| 1457770653 | All Nations Behavioral Health, LLC | Clinic/Center | 3916 Juan Tabo Blvd Ne, Suite 3, Albuquerque, NM 87111-3974 | 2014-04-15 |
| 1699193656 | Buzyke Alliance LLC | Clinic/Center | 3885 Foothills Rd, Suite B, Las Cruces, NM 88011-4672 | 2014-04-06 |
| 1124267968 | Bobby Coyne LLC | Clinic/Center | 127 Eastgate Dr, Ste 212 H, Los Alamos, NM 87544-3300 | 2009-02-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.